CLAIMS QUALITY AUDITOR REMOTE jobs in UNITED STATES, United Kingdom

, support and opportunities you'd expect from a Fortune 6 leader. The Claims QA Auditor performs quality assurance functions... Auditor maintains and provides statistical reports to Claims Management as requested. Works cooperatively with the Claims...

The Claims Auditor is responsible for the daily auditing of health or life claims, across all business lines..., which have been paid or are to be paid and are over the initial examiner’s limit. The Claims Auditor is expected to be an expert in...

Job Description: Overview This position is responsible for ongoing quality review and assessment of coded hospital... data. Performs audits on the accuracy of ICD-10, CPT-4, MS-DRG, APR-DRG and APC assignments. Performs review of claims...

. About Our Opportunity As the Medical Claims Auditor Lead (Claims Auditor and Cost Containment Lead), you will ensure a smooth and efficient..., plan, and member. By establishing “true transparency” and offering data-driven solutions that improve cost, quality...

. About Our Opportunity As the Claims Auditor and Cost Containment Lead, you will ensure a smooth and efficient claims process by reviewing..., plan, and member. By establishing “true transparency” and offering data-driven solutions that improve cost, quality...

: Performance Quality Auditor III Location: This position will work a hybrid model (remote and office). Ideal candidates will live...Anticipated End Date: 2024-07-19 Position Title: Performance Quality Auditor III Job Description: Title...

you to apply. This is a fully REMOTE position. Job Description Accurately performs quality assurance audits for individuals in all RCM...Company Description Our fast-growing healthcare company is looking for an experienced Revenue Cycle Auditor who...

Overview Now hiring a Remote Auditor-Trainer for Professional Fee Coding! With minimal supervision directly... supports the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation...

of that. It fuels our passion and drives every decision we make. Job Posting Title 340B Onsite Pharmacy Auditor - Remote in... the Florida market Job Description The Onsite Pharmacy Auditor travels to pharmacy locations and performs pharmacy...

POSITION DESCRIPTION: The Revenue Site Operations Compliance Coding Auditor/Educator serves as the subject matter... Auditor/Educator is responsible for professional development of educational materials, clinical case studies, guidelines...

POSITION DESCRIPTION: The Revenue Site Operations Compliance Coding Auditor/Educator serves as the subject matter... Auditor/Educator is responsible for professional development of educational materials, clinical case studies, guidelines...

. Responsibilities Clinical Auditor Audits outpatient, inpatient and professional claims from a clinical and coding perspective.... We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision...

. Responsibilities Clinical Auditor Audits outpatient, inpatient and professional claims from a clinical and coding perspective.... We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision...

Summary THIS IS A NATIONAL GUARD TITLE 5 EXCEPTED SERVICE POSITION. This National Guard position is for a AUDITOR... & grade GS 12 Location 1 vacancy in the following location: Remote job No Telework eligible No Travel...

as a Coding & Clinical Auditor / DRG Specialist RN, you will apply your expert knowledge of the MS-DRG and APR-DRG coding... claims. Employing both industry and Optum proprietary tools, you will validate ICD-10 diagnosis and procedure codes, DRG...

as a Coding & Clinical Auditor / DRG Specialist RN, you will apply your expert knowledge of the MS-DRG and APR-DRG coding... claims. Employing both industry and Optum proprietary tools, you will validate ICD-10 diagnosis and procedure codes, DRG...

Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims... Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g...